Uma udokotela wakho ekunikeze ukuxilongwa nge-lateral recess stenosis, (isichazamazwi LRS) ungase ukhawule ikhanda lakho. Lokhu kusho ukuthini emhlabeni?
Ukuze siphumelele kahle leli gama ake siqale ekugcineni, ngezwi stenosis.
I-stenosis yigama elivamile lezokwelapha elisho ukunciphisa. Ngokuphathelene nempilo yangasese, ngokuvamile ibhekisela kunoma yisiphi isimo esinciphisa indlela okuyohamba kuyo izinzwa noma umgogodla.
Nge-stenosis yomgogodla ngokuqondile, izakhiwo zezinzwa zinesikhala esincane esicacile nxazonke. Ngenxa yalokhu, izinzwa zingase zihlangane namathambo, izinto ezixotshiwe ze-disk noma ezinye izicubu, ezingabangela ubuhlungu nezinye izimpawu. Izimpawu zingase zibandakanye ukukhipha ubuhlungu obuphansi obungemuva, ukuchotshozwa, okuyinto yokwehliswa okwenzekayo lapho uhamba, ubuthakathaka, ukuphazamiseka kanye / noma izinzwa zombane eziwela phansi umlenze noma ingalo. Kwezinye izimo, izimpawu ezingathí sina eziphazamisa isisu noma isisu kungenzeka.
Okulandelayo, ake sichaze "i-lateral recess."
Ukuxilongwa okuningi kuhlanganisa ukubhekisela kwendawo yenkinga, futhi yilokho okwenzekayo lapho uhlangana ne-term lateral recess stenosis.
Yini, futhi iphi i-Recess Lateral?
Eyaziwa nangokuthi ukungena kuka-Lee, i-recess lateral yesikhala ngaphakathi komgudu wamagogasi osekugcineni. (I-Lateral igama legciwane elithi "ohlangothini.") Ngenxa yalokho, liphinde liseduze nomcibisholo we- spinal nerve .
Ngaphakathi komgogodla womgogodla, okuyinto ephakathi nendawo ehamba ubude bekholomu yomgogodla, i-recess lateral ichazwa ngemingcele ecacile kakhulu.
Ama-Borders Recess Borders
I-recess lateral inemingcele emi-5. Okokuqala ingemuva komzimba we- vertebral ; kuyilapho kungase kuzwakale kungaqondakali, ngemuva komzimba we-vertebral wenza umngcele ongaphambili we-recess lateral.
Ngesithakazelo sokwenza kahle, kungcono ukwengeza umkhawulo womzimba we-vertebral, obizwa ngokuthi i-margin endplate, nengxenye yangaphandle ye-disc intervertebral, ebizwa ngokuthi i-margin ye-disc, ohlwini lwalezi zakhiwo ezibandakanya ngaphambili i-recess lateral. I-disc intervertebral yinkimbinkimbi yokumangalisa ephakathi kwamabili emathanjeni omgogodla.
Okulandelayo umngcele ohlangothini we-recess lateral. Lo mngcele wenziwe isakhiwo esibizwa ngokuthi i-pedicle. I-pedicle iyingxenye encane yethambo ephuma ngemuva komzimba we-vertebral; yingxenye yendandatho yebony eseduze nomzimba we-vertebral. Le ndondo yethanga ibaluleke kakhulu emisebenzini eminingi yomgogodla.
Kunezindlela ezimbili ezihamba phambili ngemuva komzimba ngamunye we-vertebral-ilungelo kanye nesobunxele.
Ukudlula i-pedicle yi-lamina, etholakala eduze nangemuva kwendandatho yebony kunomzimba we-vertebral. Njengoba uzobona, ukuhlangana phakathi kwe-pedicle ne-lamina kubalulekile ekuchazeni umngcele ohlangothini we-recess lateral. Lokhu kungenxa yokuthi ezinye izicucu zamathambo ezisiza ukuhlukanisa imingcele, noma okungenani zisize ekutheni sikwazi ukubona ngeso lengqondo indawo, zivela kulokhu kunqunywa. Lezi zingcezu ezincane, ezivela emathambo ngokuvamile zibizwa ngokuthi izinqubo, futhi ngayinye inegama layo elihlukile elikhomba, futhi.
Isibonelo, eduze kwe-pedicle, izinqubo ezihamba phambili zanda ngokuzenzekelayo ngakolunye uhlangothi futhi zinikeza amasayithi amisipha nemigqa ukuze unamathisele. Izinqubo eziphambene nazo ziyizindawo ezisezintanjeni zomgogodla endaweni yakho ye-thoracic ehlangene nezimbambo.
I-pedicles yenza izindawo eziphawulekayo lapho zibuka isithombe sesifuba somgogodla bese uzama ukuthola ukuthi yini. Ngokuqondene nezinqubo ezihamba phambili, i-pedicle ikhona ngaphambili, futhi i-lamina itholakala ngemuva.
Ezinye izingcezu zamathambo ezivela endaweni ephakathi kwe-pedicle ne-lamina yizinqubo ze-articular. Izinqubo ze-articular ezivela emthini owodwa womgogodla zihambisane nezinqubo ze-articular ezilandelayo, kokubili ngenhla nangezansi, ukwakha ukuhlanganiswa kwesici.
Konke, izingxube zezinhlangothi zinika ikholomu lomgogodla iningi lokuzinza kwalo.
Enye yalezi zinqubo ezithile-indlela ephakeme (indlela ephakeme ngaphezu kwezokwelapha) inikeza ingxenye yomngcele ongemva we-recess lateral.
Enye ingxenye yomngcele ongemuva we-recess lateral unikezwa i-ligamentum flavum. Emigqeni eminingi ehlanganiswe nomgogodla, i-ligamentum flavum yiyona exhuma phakathi kwe-lamina yamathambo omgogodla ngaphakathi kwenzalo yomgogodla. Umsebenzi we-ligamentum flavum ukukuvikela ekulimazeni kwe-disc; Kwenza kanjalo ngokukugcina ekuguquleni phambili kakhulu.
I-Recent Recess Stenosis
Ake sikuhlanganise ndawonye manje. Njengoba ubonile, i-recess lateral ingxenye yengxenyeni yomgogodla futhi ingase ibe yingozi ekuguleni kwesisu.
Izinguquko ezihlobene nobudala emathanjeni, izingxenyana zezinhlangothi (ezakhiwe ngezinqubo ze-articular ezibalwe ngenhla) kanye / noma imigqa zingase zenze lezi zakhiwo zibe khona ngendlela ethile, ngakho-ke, isikhala esincane esiyibiza ngokuthi i-recess lateral, kanye nomunye imizila eyenziwa ngokuxhumanisa amathambo omgogodla. Futhi ngenxa yokusondela kwabo, lezi zicubu ezinzima (futhi ngokuvamile ezingavamile) zingase "ziqhubekele" ezimpandeni zemisipha eseduze eseduze nayo / noma intambo yomgogodla evame ukudlula ku-recess lateral. Lokhu kubizwa ngokuthi ukuxoshwa noma ukungena. Lapho kwenzeka ukuqhuma, kungabangela ubuhlungu obuzwakalayo nezinye izimpawu.
Ngenxa yokuthi i-recess lateral ingxenyeni yomgogodla womgogodla, lapho i-stenosis iqala khona, ihlukaniswa njengendawo ephakathi komdlavuza ongangena emgwaqeni. Kulesi simo, izimpawu ze-myelopathy zingase zenzeke. Izimpawu ze-myelopathy zibangelwa ukucasuka noma ukucindezelwa komgogodla.
Isibonelo, ukuthuthukiswa kwe-stalosis ye-lateral i-stenosis kungenzeka uma kwenzeka izinguquko ezihlobene nobudala ku-ligamentum flavum. Izinguquko ezinjalo zingabandakanya ukuqina, ukulahleka kwamandla, nokulahleka kwezinga elingaphansi lapho kutholakala khona isikhukhula esingaphakathi komsele wamagogasi.
Futhi-ke, i-ligamentum flavum eqinile yakha umgogodla ongaphansi komgogodla-uphawu oluphawulekayo lwe-canal stenosis. Uma i-buckling impinges emthonjeni womgogodla, ingabangela izimpawu ze-myelopathy.
> Imithombo:
> Demirayak, D., et. al. Imiphumela Yomtholampilo Nezokwelapha Ze-Microsurgical Posterior Lumbar Interface Fusion kanye Nokuhlukunyezwa ngaphandle kwe-Posterior Instrumentation ye-Recent Recess Stenosis I-Asian Spine J. Okthoba 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591442/
> Bartynskia, uWalter S. Lina, uLuka. Ukunciphisa i-Lumbar Root ku-Recess Lateral: UMM Imaging, i-Myelography ejwayelekile, ne-CT Myelography Ukuqhathaniswa nokuqinisekiswa okuhlinzekwayo. I-American Journal ye-Neuroradiology. http://www.ajnr.org/content/24/3/348.full#ref-list-1
> Ipaki, J., Lee, J., Park, S., Riew, K. Hypertrophy ye-ligamentum flavum esitokisini sokugulisa umgogodla ohambisana nokukhula okunamandla kweproteinase inhibitor. J Bone Joint Surg Am. Dec 2005.
> Rajesh P., Stenosis Yamagciwane. SlideShare.net .. http://www.slideshare.net/upenderus/spinal-stenosis-32618373